2/15/2024 0 Comments Incidental finding on ultrasound![]() A bleeding in a cyst results in a wide variety of ultrasound appearances depending on the timing and the amount of blood. The corpus luteum can have a variety of appearances ranging from a simple cyst to a complex cystic lesion with internal debris and thick walls (Parsons, 2001). Follicular cysts have a smooth, thin wall and are unilocular. Functional cysts, like a follicular cyst or corpus luteum, are hormonally influenced and can have different morphology on ultrasound. The most common ovarian masses in premenopausal women are functional cysts. Para-ovarian cysts are a common incidental finding and do not have any clinical significance (Chiang and Levine, 2004 Glanc et al., 2008 Levine, 2014). ![]() A hydrosalpinx can be difficult to distinguish from a malignant neoplasm due to the presence of nodules and thick endosalpingeal folds. Fibroids appear as heterogeneous, solid masses whereas hydrosalpinx present more as a tubular shaped structure. Potential non-ovarian masses include pedunculated fibroids, hydrosalpinx or para-ovarian cysts. One has to make a distinction between an ovarian mass and a non-ovarian mass. In the premenopausal population adnexal masses found on examination are often incidentally, mostly benign and of little clinical significance. The aim of this manuscript is to present an overview of the aetiology on different adnexal masses during pregnancy, the different diagnostic options and treatment guidelines. Since the finding of an adnexal mass during pregnancy now is mainly incidental, accurate diagnosis is important to identify those patients who are in need of surgery (Bernhard et al., 1999 Glanc et al., 2008 Leiserowitz, 2006). These masses were more likely to be surgically removed to resolve symptoms, avoid complications or because of the malignant potential. With a 1-6% malignancy rate, the vast majority of these masses are benign (Hoover and Jenkins, 2011 Leiserowitz, 2006 Runowicz and Brewer, 2014 Telischak et al., 2008).īefore the incorporation of ultrasound into clinical practice, adnexal masses during pregnancy were mainly diagnosed by physical examination when women presented with symptoms including abdominal/pelvic pains or a palpable mass. The incidence of adnexal masses during pregnancy is estimated to be 0,2-2% depending on the stage of pregnancy. ![]() Since the introduction of routine obstetric ultrasound examination adnexal masses are diagnosed more frequently than before.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |